2017 MCE Options for HHW and HIP Members

FSSA has added a fourth Managed Care Entity (MCE) as an option for HHW and HIP members. Effective January 1, 2017, the MCE options are now Anthem, CareSource, MDwise, and MHS.

CareSource is the new MCE being offered and they began serving HHW members January 1, 2017 and HIP members on February 1, 2017. Members may choose CareSource as their MCE at time of application or at the annual re-determination period.

Providers who would like to participate in the HHW and HIP MCE networks must be enrolled with the IHCP and contracted with one or more of the MCEs. Providers should contact the MCEs directly for contracting instructions.

Beginning on January 1, 2017, MCE networks for HHW include dental and pharmacy services.

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ClaimAid is a leading provider of full-service eligibility and claims resolution for hospitals, patients and their families. As the health marketplace continues to evolve and new coverage options emerge, ClaimAid will continue to guide our clients through the process, helping them understand the options available and what the changes mean for them.